Direct billing consent form: Canada Life, Manulife, and other insurers

This form is for Kayda Health clients whose insurer can be billed through TELUS eClaims. That includes:

BPA - Benefit Plan Administrators
Beneva Inc
CINUP
Canada Life
Chambers of Commerce Group Insurance
ClaimSecure
Cowan
First Canadian
GMS Carrier 49

GMS Carrier 50
Industrial Alliance
Johnston Group Inc.
Manulife Financial
Maximum Benefit
People Corporation
Simply Benefits
TELUS AdjudiCare
UV Insurance
Union Benefits

You do not need a TELUS account or any TELUS product. TELUS eClaims is simply the system used to submit the claim. If your insurer is Sun Life or Pacific Blue Cross, this is not your form (Sun Life clients use Sun Life form. Pacific Blue Cross clients use Pacific Blue Cross form.)

Download the TELUS eClaims consent form (PDF).
Fill in your plan member and patient information, including your primary coverage insurer, policy number, and certificate number. The provider section is already filled in for Kayda Health.
Sign and date the form.
Send the completed form to connect@kaydahealth.ca. You only need to do this once. We keep the signed form on file.

If you have any questions, please email connect@kaydahealth.ca